| NPI | 1306880034 |
|---|---|
| Former Name | MARY LINDA OWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: KY 3004742) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3004742) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-10-03 |